A SECOND case of hepatitis A has been confirmed at a primary school.

Public Health England North West’s Greater Manchester Health Protection Team said it was aware of two confirmed cases at Horwich Parish Church of England Primary School

Dr Merav Kliner from Public Health England North West, said: “We are aware of these two cases and as a precaution have advised parents to look out for the signs and symptoms.

“Working closely with the NHS and Bolton Council, we have offered immunisations to the pupils and staff who had close contact with the case in the reception classes as a precaution to prevent the spread of infection.

“Following national guidelines, we will not be offering vaccination to any other people at the school as the risk is lower when children in the other year groups are more capable of good hand hygiene.

“Since the diagnosis of infection was confirmed, we have worked closely with the school, who have completed enhanced cleaning.”

Hepatitis A is a virus that can cause nausea and vomiting, abdominal pain, diarrhoea, fever, tiredness, loss of appetite, jaundice and a general feeling of malaise in adults. It is usually mild in young children and many have no symptoms at all and should make a full recovery.

Thorough handwashing with soap and water following the ‘Wet; Soap; Wash; Rinse; Dry’ routine is important to prevent the spread of infection, especially after using the toilet, before eating or drinking, and before preparing food or meals. Smaller children may need encouragement and assistance to wash their hands well.”